First Name

Middle Initial

Last Name

Email Address

Phone

Position(s) applying for

MA Electrician License Number

How did you hear about this position?

If hired, when could you start?

Mailing Address

Resident Status Resident StatusU.S. CitizenPermanent ResidentForeign National with Authorization to Work in the U.S.

Could you pass a Background/CORI check? Could you pass a Background/CORI check? Yes No

Have you ever been convicted of a felony? Have you ever been convicted of a felony? Yes No

Have you ever been arrested? Have you ever been arrested? Yes No

Please explain any felony convictions

Please explain any arrests

Could you pass a drug screening? Could you pass a drug screening? Yes No

Please explain inability to pass a drug test

Have you ever been in the U.S. Armed Forces? Have you ever been in the U.S. Armed Forces? Yes No

What were the circumstances of your departure from the Armed Forces?

What were the circumstances for your leaving of your last employment?

Did you graduate from high school? Did you graduate from high school? Yes No

Did you graduate from college? Did you graduate from college? Yes No

Where did you go to High School and when did you graduate?

Where did you go to college and when did you graduate?

Please include any additional skills or educational qualifications relevant to the position

Are you proficient in using a computer and smart phone including email, text messaging, apps, etc.? Are you proficient in using a computer and smart phone including email, text messaging, apps, etc.? Yes No

Are you proficient in Microsoft computer applications e.g. MS Excel? Are you proficient in Microsoft computer applications e.g. MS Excel? Yes No

Do you have a valid drivers' license? Do you have a valid drivers' license? Yes No

Have you had any accidents or tickets in the past three years? Have you had any accidents or tickets in the past three years? Yes No

Please explain any tickets and/or accidents in the last 3 years

Do you have reliable transportation? Do you have reliable transportation? Yes No

Most of our work is in Newton, Needham, Brookline and Chestnut Hill but our territory is from Watertown to the Rhode Island border and from Marlborough to Boston. Apprentices either need to meet their assigned licensed electrician along the licensed electricians route or they need to drive their own transportation to the job sites. Will you have any issues or concerns with driving to these job sites on a daily basis from where you reside? Most of our work is in Newton, Needham, Brookline and Chestnut Hill but our territory is from Watertown to the Rhode Island border and from Marlborough to Boston. Apprentices either need to meet their assigned licensed electrician along the licensed electricians route or they need to drive their own transportation to the job sites. Will you have any issues or concerns with driving to these job sites on a daily basis from where you reside? Yes there are issues No issues with driving in this territory

What are your annual/hourly salary expectations?

What benefits do you currently receive and what benefits would you expect?

What are your 2-year, 5-year, and 10-year career goals?

Ralphie’s Electricians LLC provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, Ralphie’s Electricians LLC complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. Ralphie’s Electricians LLC expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Ralphie’s Electricians LLC employees to perform their job duties may result in discipline up to and including discharge. Ralphie’s Electricians LLC provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, Ralphie’s Electricians LLC complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. Ralphie’s Electricians LLC expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Ralphie’s Electricians LLC employees to perform their job duties may result in discipline up to and including discharge. I certify that all answers and statements on this application are true and complete to the best of my knowledge. I understand that, should this application contain any false or misleading information, my application may be rejected or my employment with this company terminated.

By checking the box below, I hereby authorize Ralphie’s Electricians and its agents to obtain a consumer report and/or investigative consumer report (commonly known as a background check) about me in connection with my application for employment. I understand that this report may include information about my criminal history, driving record, employment history, education, and other relevant background information. By checking the box below, I hereby authorize Ralphie’s Electricians and its agents to obtain a consumer report and/or investigative consumer report (commonly known as a background check) about me in connection with my application for employment. I understand that this report may include information about my criminal history, driving record, employment history, education, and other relevant background information. I give my consent for Ralphie’s Electricians to perform a background check as part of the hiring process.

By checking the box below, I acknowledge that I may be required to undergo drug and/or alcohol testing as a condition of employment with Ralphie’s Electricians. I hereby give my consent for such testing and authorize the release of the test results to Ralphie’s Electricians and its authorized representatives. I understand that a positive test result or refusal to submit to testing may disqualify me from consideration for employment or result in the termination of my employment, if already hired. By checking the box below, I acknowledge that I may be required to undergo drug and/or alcohol testing as a condition of employment with Ralphie’s Electricians. I hereby give my consent for such testing and authorize the release of the test results to Ralphie’s Electricians and its authorized representatives. I understand that a positive test result or refusal to submit to testing may disqualify me from consideration for employment or result in the termination of my employment, if already hired. I give my consent to undergo drug and/or alcohol testing as required by Ralphie’s Electricians.